Healthcare Provider Details

I. General information

NPI: 1043019433
Provider Name (Legal Business Name): ARIA HEALTH PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3998 RED LION RD STE 202
PHILADELPHIA PA
19114-1440
US

IV. Provider business mailing address

1101 MARKET ST FL 19
PHILADELPHIA PA
19107-2926
US

V. Phone/Fax

Practice location:
  • Phone: 215-969-4003
  • Fax: 215-969-4008
Mailing address:
  • Phone: 609-238-7660
  • Fax: 856-922-9890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHEL DANTIS
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 609-238-7660